NPI | 1093541195 |
---|---|
Former Name | MARIA ANN MENDRINOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NC 5020835) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020835) |
Enumeration Date | 2024-09-13 |
Last Update Date | 2024-11-10 |